Dealer Registration Form
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Customer Name |
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*Cusomer Code |
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Office Information
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*Address |
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*Country
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*State
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*City
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*Phone
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[Help] |
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*Pin Code
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Residential Information
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*Address |
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*Country
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*State
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*City
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General Information |
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*Mobile
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*email Address
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| Website
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| Whether any Group Co. already a customer of CFS (If yes, name them)
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| Name of Authorised Person of Organisation
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| Date of incorporation/Certifiate of Registration/operation Date
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*No. of years in business
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*Name of Promoter / Director / Partner/Proprietor
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*BU - (Contractor /Applicator/Distribution)
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login Information
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*Login Name
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*Password
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Statutory Information
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*Tin No.
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*Local Tax No.
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*CST No.
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ECC No., if applicable
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Excise Commisionarate, if applicable
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Excise Division / Range, if applicable
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| PAN Card No.
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*Assesse
(mention whether Individual, Company, HUF, Firm etc.)
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Other Important Information
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| Nature of Business (Manufacturing/Construction/Trader etc.)
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| Your Business Dealing Item
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| Mention the Brand of Dealing Item
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| Mention in brief your company history
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